Doctor Name: | MR. JEREMY WAYNE CUGLE |
NPI Number: | 1023010857 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MPT |
License Number: | 20643 |
Business Practice Address: | 2448 Holly Ave Suite 200 Annapolis, MD - 214013148 |
Business Phone Number: | 4102954941 |
Business Fax Number: | 4102955207 |
Mailing Address: | 2448 Holly Ave, Suite 200 ANNAPOLIS |
State: | MD |
Postal Code: | 214013148 |
Phone Number: | 4102954941 |
Fax Number: | 4102955207 |
NPI Enumeration Date: | 08/11/2005 |
NPI Last Update Date: | 08/06/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 20643 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |